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[Celiac disease associated with Budd-Chiari syndrome]
Asma Ouakaa-Kchaou1, Rim Ennaifer, Najet Belhadj
1Service de gastro-entérologie, Hôpital Habib Thameur, Montfleury, TN-1008 Tunis, Tunisie. asma.kchaou@voila.fr
Summary
Budd-Chiari syndrome, a rare hepatic portal vein obstruction, can be associated with celiac disease. A gluten-free diet and anticoagulation showed positive outcomes in a patient, suggesting a potential link in pathogenesis.
Area of Science:
- Hepatology
- Gastroenterology
- Immunology
Background:
- Budd-Chiari syndrome involves hepatic portal vein obstruction.
- Celiac disease is an autoimmune disorder triggered by gluten.
- The co-occurrence of these conditions is exceptionally rare.
Observation:
- A 28-year-old woman presented with coexisting celiac disease and Budd-Chiari syndrome.
- No identifiable cause was found for the Budd-Chiari syndrome in this patient.
Findings:
- Treatment with a gluten-free diet and antivitamin K therapy resulted in a favorable clinical outcome.
- This case, alongside literature review, indicates a potential shared pathogenesis between the two disorders.
Implications:
- The findings suggest a possible link between the autoimmune processes in celiac disease and the vascular complications seen in Budd-Chiari syndrome.
- Further research into this association may reveal novel diagnostic or therapeutic strategies for both conditions.
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